Provider Demographics
NPI:1497873418
Name:GRIOT DRUM
Entity Type:Organization
Organization Name:GRIOT DRUM
Other - Org Name:A-CELLENT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISSY
Authorized Official - Middle Name:D
Authorized Official - Last Name:CISTERNINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-293-7777
Mailing Address - Street 1:6218 LA PAS TRL
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-2509
Mailing Address - Country:US
Mailing Address - Phone:317-293-7777
Mailing Address - Fax:317-524-2288
Practice Address - Street 1:6218 LA PAS TRL
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-2509
Practice Address - Country:US
Practice Address - Phone:317-293-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health